General Volunteer Application

This form has been modified since it was saved. Please review all fields before submitting.

Name

Email Address

Address

City

State

Zip Code

Phone Number

Are you over the age of 18? (If not, you must have parental consent.)

Yes

No

Do you have, or can you obtain a valid Washington State Driver's License?

Yes

No

Are you currently certified in CPR?

Yes

No

Are you currently certified in First Aid?

Yes

No

Do you have any medical conditions that should be taken into consideration in arranging volunteer assignments?

Yes

No

Have you been convicted of a felony or released from prison within the last ten (10) years, or have you been convicted of a misdemeanor other than minor traffic offenses within the past three (3) years?

Yes

No

If yes, please explain:

If yes, please explain:

What days of the week are you available (you may check more than one day)?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

What hours are you generally available?

Mornings

Afternoons

Are you available in the evenings?

Yes

No

How many hours a day would you be willing to volunteer?

1-2 Hours

2-4 Hours

4-8 Hours

How many days a week would you be willing to volunteer?

1 day

2 days

3 days

4 days

5 days

What types of volunteer projects interest you?

Long Term

Short Term

Special Projects

Events

Office

Outdoor

Please check any of the following city activities that you are interested in volunteering for:

Office work at City Hall

General City or Community Events

Parks & Recreation Events

Senior Center

Court Administration

Parks & Facilities Maintenance

City Hall Visitor Services Station

Volunteers in Police Service

Police Explorers

If interested in other activities, please explain.

To better match your skills, experience and education with volunteer opportunities at the City of Puyallup, please briefly tell us about yourself.

If there are volunteer opportunities for which you qualify, you will be called for an interview which will help to further determine where there is a good volunteer match. If so, the city will need to check references and conduct a WSP background check before a volunteer contract can be offered.

As part of this background check, the city will also need you to furnish three references who are not relatives. These references will only be contacted if you are being considered for a volunteer assignment.

Name of Reference # 1

Name of Reference #2

Telephone Number of Reference #1

Telephone Number of Reference #2

Relationship

Relationship

Name of Reference #3

Telephone Number of Reference #3

Relationship

To the best of my knowledge, the information herein is true and complete. I understand that falsification of this application is grounds for dismissal as a volunteer. Further, if I am interviewed, I give permission for an authorized representative of the city to conduct and Washington State Patrol background check in accordance with RCW 43.43.830-839 and to inquire of individuals about my ability to perform all aspects of the volunteer position for which I am being considered. I release the City of Puyallup and those individuals/institutions that provide information from any liability that may arise from the provision of the information.

I have read the above information and agree to the terms of this application.